Canon Malaysia
Canon Marketing (Malaysia) Sdn Bhd
For New Appointment Of Sales and/or Service Dealers
           
       
1)
 Name of Company (in full)*
Owned Rented

2)
 Business Address*
           
    Tel* Fax*
  Contact Person* Email*
3)
 Business Registration No* Date of Incorporation* / /
4)
 Legal constitution*    
5)
 If Sdn Bhd / Bhd, please state
  a) Authorised Capital b) Paid-up Capital
6)
 a) Nature of Business*
 
  b) Segmentation / Channel of Business*
Government: %, Corporate: %, Retail: %, Distribution: %

 
  c) Geographical Coverage*
7)
 Directors / Partners / Proprietor / Senior Managers*
 
 
Name
NRIC No
Designation
Residential Address
a)*
b)
8)
 Name of Bankers (Please attach letter of Offer of the various bank facilities)*
 
 
Name
Address
A/C. No.
a)*
b)
9)
 Trade Reference (Name)
 
 
Name
Address
Credit Limit
a)
b)
10)
 Marketing and Sales Manpower:
 
 
 
11)
 What existing brand / products do you presently handle? (Please tick)
 
Canon (New) Canon (Re-cond.) Other Canon        
Xerox Multi-function copier Fax Printer Other
Ricoh Multi-function copier Fax Printer Other
Konica Minolta Multi-function copier Fax Printer Other
Panasonic Multi-function copier Fax Printer Other
Hewlett Packard Multi-function copier Printer Large Format Printer Other
Epson Multi-function copier Large Format Printer Other    
Sony Camera Video camera Other    
Pentax Camera Video camera Other    
Nikon Camera Video camera Other    
12)
 Technical Service        
  a) What are the products that your company are currently providing services to?
  PC
Typewriter
Copier
Printer
Fax
Others eg: Motherboards, PC Systems, NoteBook, UPS, Monitor & Power Supply Unit
           
  b) Is your company an authorized service provider for any of the following company?
If Yes, please specify.
 
Xerox
Panasonic
Ricoh
Konica Minolta
Hewlett Packard
Nikon
Pentax
Epson
Other:
           
  c) Number of technical staff Number of System Support / Engineer staff:
           
  d) Have your technical staff completed the Canon Technical Training course?
  Yes   No    
  If Yes, what are the Canon products that have been trained and how many of the staff?
 
Copier   Fax   ETW
Printer   Scanner   Others
13)
 What Canon products & servicing will you be interested? (Please tick)
 
Sales only
Sales & Service
Service only
Multi-function copier
Fax
Printer
Large Format Printer
Camera (sales only)
Video camera (sales only)